| NPI | 1437338985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN W DEGROOTE Physician 228-762-5982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2015-10-01 |